Is TMS Right for Me?

Houston West TMS · Updated October 2026

What to consider before deciding whether TMS belongs in your depression care.

Start with your treatment history

TMS may be an option when antidepressant treatment has not brought sufficient improvement or has been difficult to tolerate. A consultation considers your diagnosis, how long symptoms have lasted, prior medication doses and durations, psychotherapy, and how depression affects your life.

Clinical suitability and insurance are separate questions

A clinician determines whether TMS is appropriate. Your insurer decides whether your policy’s criteria are met. Prior authorization, a questionnaire score, or a medication history alone does not replace an individual assessment.

What the evaluation includes

Tell Dr. Drell about medications and supplements, previous mood episodes, seizure history, neurological conditions, and implants or metal near the treatment area. The team explains benefits, limitations, side effects, and the visit schedule.

• What did each previous treatment help—or fail to help?
• Can I attend the recommended schedule?
• What are the expected costs and authorization requirements?
• What happens if I improve slowly or treatment is not helpful?

A plan rather than a promise

Some patients benefit substantially, while others do not respond enough. Results and durability vary. TMS generally permits you to remain awake and resume usual activities, but it requires repeated visits and ongoing monitoring. Continue medication and psychotherapy as directed by your treating clinicians.